Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.79 / $1,687.68 / $14,482.00	Facility		$1,001.79	$1,687.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.61 / $1,001.79 / $2,772.36	Professional		$695.61	$1,001.79	$2,772.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.37 / $2,176.29 / $4,836.54	Professional		$788.37	$2,176.29	$4,836.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,157.28 / $2,520.94 / $4,066.21	Facility		$2,157.28	$2,520.94	$4,066.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.61 / $2,522.67 / $3,436.01	Professional		$1,117.61	$2,522.67	$3,436.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $825.09 / $1,103.72 / $1,625.92	Facility		$825.09	$1,103.72	$1,625.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $900.10 / $5,266.00 / $15,126.00	Facility		$900.10	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $913.74 / $2,423.87 / $5,648.02	Professional		$913.74	$2,423.87	$5,648.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $510.02 / $1,693.14	Professional		$62.75	$510.02	$1,693.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $825.09 / $1,103.72 / $1,625.92	Facility		$825.09	$1,103.72	$1,625.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,625.65 / $2,501.00 / $3,169.98	Professional		$1,625.65	$2,501.00	$3,169.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,147.29 / $3,979.50 / $6,119.20	Professional		$1,147.29	$3,979.50	$6,119.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,013.49 / $2,013.49 / $2,013.49	Professional		$2,013.49	$2,013.49	$2,013.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,914.20 / $4,923.22 / $4,923.22	Professional		$1,914.20	$4,923.22	$4,923.22
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $870.23 / $2,584.44 / $3,488.03	Professional		$870.23	$2,584.44	$3,488.03